Provider Demographics
NPI:1942710868
Name:BEING CENTERED: PSYCOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:BEING CENTERED: PSYCOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGISTS
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-614-1089
Mailing Address - Street 1:100B DANBURY RD.
Mailing Address - Street 2:STE 105E
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877
Mailing Address - Country:US
Mailing Address - Phone:203-614-1089
Mailing Address - Fax:203-614-1089
Practice Address - Street 1:100B DANBURY RD.
Practice Address - Street 2:STE 105E
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-614-1089
Practice Address - Fax:203-614-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty